Prepare for OASIS C2 Changes: M1060 - Height and Weight

This blog post will be covering new OASIS C2 item: M1060: Height and Weight

With OASIS C2 being implemented on January 1^st 2017, it’s extremely important that your agency or facility is educated with the upcoming changes. Because of this, we’d like to do our part in helping all agencies familiarize themselves with the new additions and modifications to OASIS.

We will be dedicating several upcoming blog posts to OASIS C2 in order to reduce the chances of you and your staff getting caught off guard by the new changes. Additionally, we will be providing best practice-based steps to answer these questions as accurately and thoroughly as possible. 

(M1060) Height and Weight—While measuring, if the number is X.1 – X.4 round down; X.5 or greater round up

a.Height (in inches). Record most recent height measure since the most recent SOC/ROC

b. Weight (in pounds). Base weight on most recent measure in last 30 days; measure weight consistently, according to standard agency practice (for example, in a.m. after voiding, before meal, with shoes off, etc.).

Purpose of Assessment:

These items support calculation of the patient’s body mass index (BMI) using the patient’s height and weight.

Item Rationale:

Diminished nutritional and hydration status can lead to debility that can adversely affect wound healing and increase risk for the development of pressure ulcers.

Height and weight measurements (and BMI calculation) assist staff in assessing the patient’s nutrition and hydration status by providing a mechanism for monitoring stability of weight and BMI over a period of time. The measurement of height and weight for the calculation of BMI is one guide for determining nutritional status.

Weight measurement is also used in assessment of heart failure.

When to Complete:

Start of care.

Resumption of care.

 Steps for Assessment for M1060 – a, Height

1. Measure height in accordance with the agency’s policies and procedures, which should reflect current standards of practice (shoes off, etc.).
2. Measure and record height in inches.
3. When reporting height for a patient with bilateral lower extremity amputation, measure and record the patient’s current height (i.e., height after bilateral amputation).

Instructions for M1060 – a, Height

• Complete only if M0100 = 1 Start of Care or 3 Resumption of Care.
• Record the patient’s height to the nearest whole inch.
• Use mathematical rounding (i.e., if height measurement is X.5 inches or greater, round height upward to the nearest whole inch. If height measurement number is X.1 to X.4 inches, round down to the nearest whole inch). For example, a height of 62.5 inches would be rounded to 63 inches, and a height of 62.4 inches would be rounded to 62 inches.
• A dash (–) value is a valid response for this item. A dash (–) value indicates that no information is available and /or an item could not be assessed. This most often occurs when the patient is unexpectedly transferred, discharged or dies before the assessment of the item could be completed. CMS expects dash use to be a rare occurrence.

Steps for Assessment for M1060 – b, Weight

1. Weight should be measured in accordance with the agency’s policies and procedures, which should reflect current standards of practice (shoes off, etc.).
2. Measure and record the patient’s weight in pounds.
3. If a patient cannot be weighed, for example, because of extreme pain, immobility, or risk of pathological fractures, enter the dash value (“-“) and document the rationale on the patient’s medical record.

Instructions for M1060 – b, Weight

Complete only if M0100 = 1 Start of Care, or 3 Resumption of Care

• Use mathematical rounding (e.g., if weight is X.5 pounds [lbs.] or more, round weight upward to the nearest whole pound. If weight is X.1 to X.4 lbs., round down to the nearest whole pound). For example, a weight of 152.5 lbs. would be rounded to 153 lbs. and a weight of 152.4 lbs. would be rounded to 152 lbs.
• A dash (–) value is a valid response for this item. A dash (–) value indicates that no information is available and /or an item could not be assessed. This most often occurs when the patient is unexpectedly transferred, discharged or dies before the assessment of the item could be completed. CMS expects dash use to be a rare occurrence.